Edgar Police Department224 South Third Avenue Edgar, WI 54426

Phone: 715-352-2891Chief Jeanette Stankowski

Vacant House Check Form

Address:Resident Name:Home Number:Cell Number:Date Vacating:Date Returning:Name of Local Person in Case of Emergency:Local Person Home Number:Local Person Cell Number:Lights Left On:Timer:Alarm System:Vehicles in Driveway:Note: Special note area, i.e. front porch light is motion sensor, etc.: